非直视经纤支镜肺活检联合细胞学检查对周围型肺癌的诊断价值

The diagnostic value of blind bronchoscopy combined with cytology on peripheral lung cancer

目的探讨非直视经纤支镜肺活检(TBLB)联合多种细胞学检查对周围型肺癌的诊断价值。方法采用回顾性分析对该院3年来进行非直视TBLB(简称盲检)并最终诊断为周围型肺癌的111例患者进行总结。结果 111例确诊为周围型肺癌的患者中盲检阳性68例(61.26%),支气管肺泡灌洗阳性26例(23.42%),刷片阳性25例(22.52%),痰检阳性14例(12.61%),四种方法联合阳性80例(72.07%)。结论盲检联合BALF、刷片及痰检对诊断周围型肺癌有较高的阳性率。

[ Objective ] To study the value of bronchoscopy combining cytology on the diagnosis of peripheral lung cancer under blind conditions. [ Methods ] A retrospective analysis was applied to 111 patients, who underwent blind bronchoscopy and were finally diagnosed with peripheral lung cancer, in Zhongda hospital from July 2008 to July 2011. [Results] Among 111 patients diagnosed with peripheral lung cancer： Transbronchial Lung Biopsy （TBLB） positive 68 cases （61.16%）, Bronchoalveolar Lavage Fluid （BALF） positive 26 cases （23.42%）, brushing posi- tive 25 cases （22.52%）, sputum positive 14 cases （12.61%）, four methods combined positive 80 cases （72.07%）. [ Conclusion ] There was a higher positive rate with TBLB combined with BALF, brushing and sputum in the diag- nosis of peripheral lung cancer under blind conditions.